Surveillance of mortality and Morbidity in US workers

描述（由申请人提供）：职业健康中的种族-民族和社会经济地位健康差异尚未得到广泛研究。尽管职业病、职业伤害和职业死亡率被严重低估，但它们对美国工人及其家庭的健康产生了重大影响。然而，这种职业死亡率和发病率的风险分布并不均匀。这些风险似乎不成比例地影响来自种族-民族亚群和较低社会经济阶层的美国工人。迈阿密NIOSH NHIS研究小组建议使用他们现有的研究数据库，该数据库来自国家健康访谈调查（NHIS），并由新发布的NHIS数据进行扩充，以探索基于种族-民族和社会-经济阶层之间差异的美国工人健康差异问题。一个代表性样本超过660，000名美国工人的增强NHIS数据库将允许探索发病率和死亡率的差异，并在不同的种族，民族亚群和社会经济阶层的职业。基于他们以前的工作，研究人员建议追求更复杂的理论模型来评估职业风险的途径，以及职业亚组之间和内部的发病率和死亡率。使用这些模型将使研究者能够评估职业、发病率指标和死亡风险之间的关系，检验工人亚组中观察到的死亡风险是否由发病率介导。此外，研究人员建议使用新的NHIS数据和额外的统计模型来探索基于不同社会经济和种族亚群的美国工人之间的健康差异问题。最后，研究人员建议制作一本关于美国工人健康差异和职业的额外互动专著，该专著将通过扩展的研究网站www.rsmas.miami.edu/groups/niehs/niosh/提供。本研究提案至少满足3个NIOSH研究优先领域（诺拉）：监测研究方法和独特的死亡率和发病率数据，1）整个美国劳动力; 2）老年人，种族-民族，较低的社会经济和性别特定的工人亚群;和3）工作场所疾病和伤害的社会和经济成本。

DESCRIPTION (provided by applicant): Race-ethnicity and socio-economic status health disparities in occupational health have not been extensively investigated. Although significantly under-reported, occupational disease and injury, and mortality represent a significant health impact on US workers and their families. However, the risks for this occupational mortality and morbidity are not evenly distributed. It appears that these risks disproportionately affect US workers from race-ethnicity subpopulations and from lower socio-economic class. The University of Miami NIOSH NHIS Research Group proposes to use their existing Study Database derived from the National Health Interview Survey (NHIS), augmented by newly released NHIS data, to explore issues of health disparities among US workers based on differences between race-ethnic and socio- economic classes. The augmented NHIS database of a representative sample of over 660,000 US workers will allow the exploration of morbidity and mortality differences between and within occupations by various race ethnic subpopulations and by socio-economic class. Based on their previous work, the Investigators propose to pursue more sophisticated theoretical models to evaluate pathways of occupational risk, and morbidity and mortality between and within occupational subgroups. The use of these models will allow the Investigators to assess the relationship between occupation, indicators of morbidity, and the risk of mortality, testing whether or not the mortality risks noted in worker subgroups are mediated by morbidity. In addition, the Investigators propose to use the new NHIS data and the additional statistical modeling to explore the issue of health disparities among US workers based on different socio-economic and race-ethnicity subpopulations. Finally, the Investigators propose to produce an additional interactive Monograph on Health Disparities and Occupation in US Workers that will be made available through the expanded Study Website www.rsmas.miami.edu/groups/niehs/niosh/). This study proposal satisfies at least 3 NIOSH research priority areas (NORA): Surveillance research methods with unique mortality and morbidity data on 1) the entire US workforce; 2) older, race-ethnic, lower socio-economic and gender-specific worker subpopulations; and 3) social and economic costs of workplace disease and injury.